Standards for private organizations

2020 Edition

Adult Foster Care (AFC) 6: Placement Planning

Individuals are placed with caregivers who can best meet their needs and support, build, and strengthen their ties to family and community.

Interpretation

For organizations that only provide ready-made matches, the placement planning process may be less formal, but the organization must still ensure that the home and caregiver are adequately matched with the service recipient’s needs and resources.
2020 Edition

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Purpose

 Adult Foster Care (AFC) programs support community-based living arrangements for adults in need of long term-services and supports, matching them with in-home caregivers.
1
All elements or requirements outlined in the standard are evident in practice, as indicated by full implementation of the practices outlined in the Practice Standards.
2
Practices are basically sound but there is room for improvement, as noted in the ratings for the Practice Standards; e.g.,
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality; or
  • Procedures need strengthening; or
  • With few exceptions, procedures are understood by staff and are being used; or
  • For the most part, established timeframes are met; or
  • Proper documentation is the norm and any issues with individual staff members are being addressed through performance evaluations and training; or
  • Active client participation occurs to a considerable extent.
3
Practice requires significant improvement, as noted in the ratings for the Practice Standards. Service quality or program functioning may be compromised; e.g.,
  • Procedures and/or case record documentation need significant strengthening; or
  • Procedures are not well-understood or used appropriately; or
  • Timeframes are often missed; or
  • Several client records are missing important information; or
  • Client participation is inconsistent. 
4
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the Practice Standards; e.g.,
  • No written procedures, or procedures are clearly inadequate or not being used; or 
  • Documentation is routinely incomplete and/or missing.      
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
  • Placement planning procedures, including:
    1. Matching service recipients and caregivers
    2. Preventing and managing placement disruptions
    3. Creation of transition and backup plans
  • Procedures for developing residency agreements
  • Residency agreements
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served

 

AFC 6.01

To identify the safest and most appropriate home for every individual, the organization uses a process that considers: 
  1. the individuals’ and caregivers’ characteristics, strengths, needs, supports, and resources; 
  2. the appropriateness of the home environment;
  3. any prior relationship between the individual and caregiver; and 
  4. informal support networks of both the individual and the caregiver.
Examples: Informal support networks of both the individual and the caregiver can be helpful to examine as they will place a significant role in the individual’s ability to integrate into the community. 

 

AFC 6.02

The organization prevents placement changes through coordinated placement planning that: 
  1. ensures individuals, families, and caregivers are aware of the placement process and receive support and information throughout;
  2. provides all legally permissible information about the individual’s characteristics, behaviors, needs, and histories to prospective caregivers;
  3. arranges opportunities for individuals and families to meet prospective caregivers whenever possible;
  4. responds proactively to challenges associated with placement and assesses the need for services and supports; and
  5. facilitates workers’ ability to spend more time with individuals, families, and/or caregivers after a new placement or when challenges arise.
NA The organization only makes ready-made matches.

 
Fundamental Practice

AFC 6.03

The worker assists in developing a residency agreement individualized to the service recipient and caregiver that:
  1. outlines both parties’ expectations of household functioning; and
  2. includes both parties’ signatures.
Examples: Residency agreements may include information around both parties’ expectations regarding the living quarters, such as:
  1. meal times, including when and where meals are provided;
  2. expectations around having visitors to the home;
  3. the use and decoration of personal and common spaces; and
  4. support for purchasing personal belongings.

 

AFC 6.04

Caregivers are provided with the support and information needed to appropriately implement the residency agreement, including: 
  1. a list of all medical, treatment, and other services needed;
  2. dietary requirements; and
  3. any known allergies.

 

AFC 6.05

Care managers work with caregivers and participants to develop a transition plan should a caregiver no longer be able to offer the AFC service.